Reyadh J Michail MD Inc

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

A417910 Issued in CA

Legal business name

REYADH J MICHAIL MD INC

Practice address

14860 Roscoe Blvd
Suite #201
Panorama City, CA 91402-4665

Phone

(818) 787-1049

Fax

(818) 787-1129

NPI assigned

Apr 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Reyadh J MichailNPI 1508847831

Title

Ceo

Phone

(818) 787-1049

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reyadh J Michail, M.D

  • Family Medicine Physician
  • Panorama City, CA
  • NPI 1508847831
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1306069679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD",
            "address_2": "SUITE #201",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024665",
            "telephone_number": "818-787-1049",
            "fax_number": "818-787-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD",
            "address_2": "SUITE #201",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024665",
            "telephone_number": "818-787-1049",
            "fax_number": "818-787-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYADH J MICHAIL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "MICHAIL",
        "authorized_official_first_name": "REYADH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-787-1049"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A417910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Isabel Reinis, LPT
• Marifi Remoquillo, DPT
• Reo Diagnostic Inc
• Juhtima Reuangsettakal
• Fernando Andres Rey, D.C.
• Christianne Gumabon Reyes, MD
• Franklyn Leonel Reyes
• Gina Marie Reyes, CRNA
• Iris Reyes
• Klevin Roger Luz Reyes, MD

• Public Health & General Preventive Medicine Physician in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.